Pilot Evaluation of Hospice Decision Support Tools

Hospice Clinical Trial

Official title:

Pilot Evaluation of Hospice Decision Support Tools

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03794700
• Other study ID #: 18-1138
• Secondary ID: 1R21AG059114-01
• Status: Completed
• Phase: N/A
• Start date: July 15, 2018
• Est. completion date: March 4, 2020

Study information

• Verified date: August 2022
• Source: University of Colorado, Denver
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this project is to determine the feasibility and acceptability of a hospice decision aid among a diverse population of older adults at multiple stages of illness (Aim 1) and to determine the preliminary efficacy of the hospice decision aid on decision quality, hospice knowledge, and values-concordance (Aim 2). By testing the feasibility, acceptability, and preliminary efficacy of a novel hospice Patient Decision Aid (PTDa) in a diverse population of older adults, additionally the study will simultaneously explore barriers to PtDA implementation in both an outpatient primary care and inpatient palliative care setting. The study will also gather sufficient pilot data to support a subsequent effectiveness/implementation trial and thus address the absence of quality of SDM interventions for end-of-life care decision-making.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 131
• Est. completion date: March 4, 2020
• Est. primary completion date: March 4, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• 65 or older.

• At least one life-limiting illness or syndrome.

Exclusion Criteria:

• Non-English speakers.

• Patients with cognitive Impairments preventing ability to provide informed consent.

• Patients on isolation precautions due to resistant bacteria or impaired immune function.

Related Conditions & MeSH terms

• Death
• End-of-life Decision Making
• Hospice
• Hospice Decision Making

Intervention

Other:
• Hospice Decision Aids
Paper and video hospice decision aid

Locations

Country	Name	City	State
United States	University of Colorado Denver	Aurora	Colorado

Sponsors (2)

Lead Sponsor	Collaborator
University of Colorado, Denver	National Institute on Aging (NIA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Hospice Knowledge Scale	Hospice Knowledge Scale is a 23-item true/false scale that measures patient knowledge about hospice care. Each question is worth 1 point with possible scores ranging from 0 to 23. Higher scores indicate more knowledge.	1 month follow-up
Primary	Hospice Beliefs and Attitudes Scale	8-item scale developed to measure beliefs and attitudes towards hospice care. It has a Cronbach's a = .74 for the scale, indicating a good degree of internal reliability. Scores from 8 to 40. Higher scores indicate better opinions of hospice. .	1-Month follow up
Primary	Decision Self Efficacy Scale	Is an 11-item instrument that one's self-confidence in decision making. This scale is a validated scale with a Cronbach's alpha of 0.92 and correlates with DCS subscale of being informed (r=0.47). Scored from 0-100 with higher scores indicating more decision self efficacy.	1 month Follow up